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Defy does prescribe compounded Clomid with and AI. I started at 12.5mg Clomid and next month went to 25mg compounded with 0.15 Arimidex.

By itself it's hard to say. A slightly elevated Bili isn't diagnostic by its self. I'd like to see your Direct Bili, AST/ALT, Alk Phos, INR, and your Bun/Cr to make an assessment. Beyond that an Ultrasound would be the next diagnostic step. I'm not a Doctor however I am a liver, kidney, heart...

Have you had liver tests actually done? AST, ALT, Total Biliruben and Direct Biliruben? I'm really worried about your liver.

I had my TSH checked on my first panel before Clomid and then we added a full thyroid panel on the 2nd set after 1 month of Clomid, added Nature Thyroid and retested after one month of Clomid at 25. Not sure about when I didn't get them tested. Im paying for labs until this years deductible is...

Yes on the Clomid timeline. My LH actually decreased when the dose was increased to 25mg. My TSH actually resulted sepreatly. My current TSH is 4.7 range 0.45-4.5.

Hi All. Just got back my labs after my second month of a Clomid restart with Defy. The first month protocol was 12.5 mg daily. After a month with a little subjective improvement (but not a lot) we upped it to 25g daily compounded with 0.15 of Arimadex. We also started on 1grain daily Nature...

I had my follow up with Melissa Dr Saya's PA. First of all I, as a clinician I was very impressed with her and am confident in her care. There is obviously an auto immune thyroid component. Likley Hashimotos. So we are going to start on NDT 0.5 grain titrating to 1 grain if I tolerate it and...

Hi All. I am in the middle of a Clomid restart and Dr Saya wanted me to run a thyroid panel because on my Pre HRT panel my TSH was elevated. About me. 39 5'11 245 pounds. Active with a fairly healthy diet. All of the low T signs that I'm learning can also be low thyroid. Fatigue, weight...

Along with what everybody above shared I'd discuss a thyroid work up with Defy. Our pituitary glands which stimulate the production of T also stimulate our thyroid. The picture of an overweight male with low T really points to possible thyroid issues as well. Again this is because our Pitutary...

Thank you! That is exactly what I did.

Following up. So I had my consult with Dr Saya today and to echo the previous sentiments he was great. The thoroughness about my entire health picture was fantastic. So here are his recommendations which I will follow. 35 day Clomid stim test. Complete thyroid panel. Start DHEA 200mg/day...

Thanks guys for the replys. I decided to continue the process with Dr Saya. A large part of me wanted more immediate gratification but this is too important to make decisions like that. So I have an appointment with him on 11/16. On the standby list if anything opens.

I was curious about the LH as well. BF is around 30%. I had a vasectomy about 4 years ago. Could that have any impact?

Thank you for the reply. No second thoughts about Defy necessarily. More curious if I can find somebody to look at and manage the TRT, BP, blood sugar, and cholesterol at the same time. A holistic (I usually hate that word) approach to my overell wellness picture.

Hi all. So I am a 38yo man. 5'11 255lbs. Over the last few years I've had increasing abdominal fat, poor libido, difficulty maintaining an erection, mild depression, poor motivation, irritability ect. No drugs, mild drinking, no smoking. I lift weights (heavy) 3 times a week, and am generally...